| NPI | 1700411360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J CAMPOPIANO Owner & Provider 813-919-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-12-16 |